Food safety tips during and after a power outage

Many of us in Florida are dealing with power outages this hurricane season and that means our refrigerated and freezer items are at risk for developing bacteria.  The question that immediately comes up is, is it safe to eat? Perhaps it’s time for a refresher on a few food safety tips:

  1. Cold (refrigerated) foods should be kept at or below 40ºF. Your appliance will have a temperature setting to tell you where it’s at, but try to avoid opening it as much as possible so you don’t let the cool air out. A closed refrigerator that is full should keep the food cold enough for about four hours.  Once the temp drops below 40ºF, you have a two hour window before the food becomes an ideal environment to grow bacteria.
    • Hopefully you’ve stocked up on ice and coolers to start putting your important items in. Personally, I suggest consuming high risk items prior to reaching above 40º such as eggs, mayonnaise and mayonnaise based products such as tuna/potato/chicken salad and any leftovers.
    • Fruits and vegetables will last much longer than two hours and many are shelf stable, so don’t worry too much about these. An exception would be berries and grapes that tend to spoil quickly. Eat those first.
  2. Frozen items should be kept at or below 0ºF. Again, your freezer should tell you this, but don’t open it more than you have to. A full freezer will keep the temperature for approximately 48 hours (24 hours if it is half full).
    • It is best to keep the items close together so they keep each other cold. Once it rises above 0ºF, watch it as many of those items will be okay if cooked before reaching above 40ºF. Unfortunately if they go over that 40ºF past two hours, especially frozen meats, it’s time to throw them out. It’s just not worth the risk of getting sick.
    • Remember, you can put some of your refrigerated items in the freezer to keep them under their 40ºF for a longer period of time and you may be able to save them.
    • Having extra ice packs, even dry ice if you can get some, full tupperware of frozen water, and full frozen ice trays stocked in your freezer can help keep the food at ideal temperatures for as long as possible.
  3. Hopefully you stocked up on nonperishables. If you didn’t, there will likely be a next time and might as well plan sooner than later. These are some of my favorites:
    • Quest protein bars
    • Starbucks light double shots (gotta have coffee)
    • Trail mix or mixed nuts or any kind of nuts are great
    • Peanut butter or any kind of nut butter
    • Triscuits (for spreading nut butter on – better than just plain ol’ bread to me)
    • Bananas
    • Tangerines
    • Tomatoes (I could eat these like apples!)
    • Apples
    • Beef jerky
    • Pre-seasoned tuna pouches
    • 3 ounce chicken cans
    • Cracklin oat bran cereal (or granola is good too!)
    • Animal crackers (okay, not most nutritional, but gotta have a crunchy snack!)
    • Dried fruit (I got mini raisin boxes, mangos, and apricots this go around)
    • Pita bread
    • Avocados
    • 1 gallon water per person per day
  4. A sample menu for you using only shelf stable food:
    • Breakfast:
      • Quest bar + tangerine
      • Pita bread with peanut butter and banana sandwich
      • Cracklin oat bran + 1/4 cup dried fruit
      • All to include Starbucks light double shot of course!
    • Lunch/Dinner:
      • Tuna pouch + sliced tomato + 8 triscuits
      • Pita bread + sliced avocado + canned chicken + 10 animal crackers
      • Peanut butter spread on 8 triscuits + mini raisin box
      • Pita bread with peanut butter and banana sandwich + 1/4 cup trail mix
    • Snack tips:
      • No stress eating! This is a stressful time, but it’s not going to make you feel better. I’ve written lots of posts on this in the past explaining why.
      • Stick to the rule of eating every three hours as much as you can. Your meals are possibly going to be smaller, however, so eat to hunger if necessary. High protein, shelf stable snacks include: nuts, trail mix, beef jerky, canned chicken, and tuna pouches. When the power goes out, cheese sticks and yogurt are great to eat up first. I also recommend hard boiling your eggs beforehand so you have snacks and breakfast items to eat while they are still in the correct temperature zones. Remember, you are probably going to have to throw out these highly perishable items anyway- cook them while you can!
  5. What do you do when the power comes back on?
    • Do not, I repeat, do not rely on odor and appearance to determine if a food is safe to eat. You gotta rely on temperatures. Trust me when I say, a food borne illness in the aftermath of a hurricane is not something you want to be dealing with.
    • Throw anything out that has reached above 40ºF for longer than two hours. Period. Especially meats that started to defrost and any frozen items that no longer have ice crystals.
    • If a food has been determined safe to eat and is perishable, such as eggs, meat, etc – be sure to cook it all the way. No rare steak or sunny side up eggs just to be sure.
    • Lastly, when in doubt, just throw it out. You can always replace the food later. Be safe!

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free online support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Back to school tips for a healthy family (and your sanity!)

This is a crazy time of year. Lazy days of summer are over and routines are back in full force. I relish the summer because of slow mornings and relaxed evenings without homework. Movie nights any night we want, lunch at 3 o’clock in the afternoon, and leisurely mid-week breakfasts are over.

I once read that August is kinda like the Sunday of the year. It represents a new start and recommitment to improving what hasn’t worked in the previous months. Some of you may have children transitioning into middle or high school this year and if you’re like me, you might have a child just entering the school world. Change is here! But that doesn’t mean you have to feel like you’re drowning in after school sports schedules, reading logs, and math homework that you live on pizza and fast food for the next 9 months.

Tips for maintaining sanity and a healthy family during the school year:

  1. Pre-make freezer meals. These can be precooked or not. I’ve done both. If you decide to precook I recommend making enough for at least two meals – one for that evening and one to freeze. It’s much easier to make two at once while you already have the stuff out. Raw meats can be put in large freezer bags with chopped veggies and sauces then frozen for later cooking (baked, pressure or slow cooked.)
  2. Plan ahead. Duh. You’ll have a routine. You’re gonna know when football practice is and when the games are. There’s gonna be late nights that cooking isn’t going to happen. Will those nights be the night you save Monday’s leftovers for? Or the night you decide your family will eat out? It’s okay to eat out 1-2 times a week. It’s not okay to just decide you’re gonna be a fast food family every night during the week.
  3. Plan quick meals. Thirty minute meals sound great. But let’s face it, sometimes that’s too long when it’s late and you’ve got starving kids whining at you. Some of my favorite fifteen minute meals to make include: cheese omelets with fruit and whole wheat toast, deli sandwiches and salad, salad (using pre-made salad bags) with pre-cooked chicken, deli meat, or canned tuna, etc. Nothing wrong with a protein shake or protein bar and yogurt/fruit either. Not all kids will enjoy that last option so I may boil them a hot dog and add raw veggies with ranch if that’s what I go for. Just be flexible! Meals are probably not always going to be your traditional family style meat and two sides.
  4. Establish a bed time and routine. I’ve been guilty in the past about not doing this. You know what happens? There isn’t one and every night turns into a circus, ending with sweat and tears. (I’m not talking about my kids!)  If you don’t want this to happen, decide now when bed time will be and then reverse engineer. That’s will determine what time dinner is going to be. It’s not always going to work out perfectly, but establishing this will make life much easier for you and help you make decisions about what responsibilities and activities you participate later on in the school year.
  5. Take a good multivitamin. Yes, I’m advising your whole family do this. It’s important to fill in the nutritional gaps with a high quality vitamin. This can really help with immunity, focus, and sleep quality. Germs and common childhood illnesses are frequent throughout the school year! Lessen your chances with this simple step. I’d love to tell you if you eat a diet rich in fresh fruits and vegetables, lean meats, dairy, and whole grains that you’ll be set. But I’m not that confident in today’s food supply or our ability to consistently eat a perfect diet in today’s busy lifestyle. If you would like recommendations for brands, feel free to contact me. Not all are created equal.
  6. Stock up on fresh fruits and vegetables. And make them convenient to eat. This means they are cut up, washed, and stored in clear containers in the front of the refrigerator. Consider storing apples, oranges, and bananas in a fruit bowl on the kitchen counter. Research shows that this really increases the chances they will be consumed by your family first and more often throughout the week. These will make for much healthier after school snacks over the bag of chips in the pantry! We eat what’s convenient.
  7. If you plan to pre-pack lunches, try to make them for 2-3 days ahead of time. Again, when you’ve got the stuff out already, it saves time. Peanut butter and jelly sandwiches last up to three days without going soggy. I’ve tested it myself. And be okay with allowing your kids to eat at school some of the time. I learned a while ago that it’s not healthy for me to be up all hours losing sleep in the kitchen trying to pack everyone the perfect lunch.
  8. Grocery shop once a week. Pick a day and time you’re gonna do it consistently. If possible, not a weekend day in the afternoon. This is the busiest and most stressful time and it will take you the longest. Make a list before you go and get it done. No food in the kitchen = no meals made at home. Some grocery stores are now offering curb side pick up. Do your shopping online, they get it together for you, and you just pick it up at the door. Genius! I have a previous post  if you need help with budgeting.
  9. Eat breakfast. As moms, we are pretty good about making sure our children eat a healthy breakfast before rushing off to school. And then we get to work or go on about our day and never get beyond the cup of coffee for ourselves. Don’t do that. Everyone needs breakfast to maintain a healthy weight, perform better, focus throughout the day, and to prevent unhealthy snacking. While you’re making your children breakfast, take the extra two minutes to make yourself one too. If that’s really a no go, consider a meal replacement. I offer insights and suggestions here. Popular kid’s breakfast options include peanut butter on waffles, peanut butter and jelly (I like uncrustables for a fast fix), oatmeal with brown sugar and raisins, cereal and milk with strawberries or bananas, cheese omelet with fruit, cinnamon raisin toast and a banana, yogurt and cheerios, hard boiled eggs and toast.
  10. Be flexible. The biggest reason people fail at their health goals is because they get stuck in the mentality that their plans needs to be perfect. As soon as something unexpected happens (a child failed their test, you get asked to volunteer for the halloween party, you get a flat tire on the way to school, etc), they throw in the towel. I call this “Plan A,” perfectionism, which really only happens 5% of the time. Plan B is your reality, so flexibility is key because these things are going to come up, 90% of the time. That’s just life. What’s the other 5%? Plan C….reserved for those days when you’re probably gonna stay home, order a pizza, and call it a day. Luckily they only happen occasionally!

    Most important thing is, you make a plan, allow for flexibility, fall off course sometimes, and consistently get back on track. 

Good luck this year, I wish you a year of success and fun filled memories!

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free online support group here.

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Jillian McMullen, RDN, CSOWM, LDN

The real reason to go vegan (hint: it’s not because meat causes cancer)

I want to start with a disclaimer, I don’t have Netflix. I know. But I rarely watch tv these days and when I do, it’s in the form of a Friday night animated movie with my kids. You’ll understand in a minute why this matters to the topic of vegan diets.

But first, let’s clarify what a vegan diet really is. It’s not the same thing as going vegetarian which is simply cutting out some or all animal products. Vegans are hard core. They don’t eat animal containing products of any kind including beef, poultry, seafood, dairy products, eggs, honey and any products containing such ingredients (i.e. whey, casein, lactose, egg white albumen, gelatin, cochineal or carmine, shellac, L-cysteine, animal-derived vitamin D3 and fish-derived omega-3 fatty acids.) Most vegans I have known rely on whole, plant based foods to compose their diets. The bulk of their diet comes from nuts, seeds, beans, fresh fruits and vegetables, rice, potatoes, and occasional dairy substitutes. They typically do not consume processed meat substitutes (that would be a flexitarian), processed junk food, added oils, and sugary drinks/sweets. These are health conscious people that often care about the environment too.

A certain movie on Netflix has been circulating recently about how healthy vegan diets are, suggesting if you follow them, you won’t get cancer, Type 2 diabetes, or heart disease. And highlights how unhealthy eating meat, poultry, processed meat, even fish, and all forms of dairy is. Cancer in a patty with melted diabetes on top, shall we?

As a reader of my stuff, you probably know by now, I have an opinion. But you should also know my opinions are based on quality evidence. I’ve read a thorough review of the movie but my post really isn’t to bash the movie. What I’d prefer to do is shed some light on the real reason you’d want to consider following a vegan diet instead of a bunch of bias and poorly backed reasons of why you shouldn’t eat meat. In the world of nutrition and scientific research, there are very little absolutes. When it comes down to it, nobody really has the answer. If they did, they would be extremely wealthy and these diseases that have become such epidemics would be eradicated by now. One little movie just doesn’t have the miracle answer. Sorry.

So let’s outline some great reasons why a vegan diet would be a great option, sprinkled with a few reasons why it might not be a fit for you:

  1. Vegan diets are nutritious: this really is a no brainer. They are naturally higher in fiber, folic acid, vitamins C and E, potassium, magnesium, and many phytochemical than the typical western diet (aka standard American diet aka SAD). The fat content is also more unsaturated since there is no allowance for the primary sources it comes from like butter, beef, processed goods and poultry skin. However, there are going to be a few nutrients that will present a challenge and concerted effort to obtain adequate amounts is required. Vitamin B-12 to start with because the best source in the SAD comes from eggs and animal products. There is a product that you may have never heard of unless you circulate in the vegan communities called nutritional yeast, which can be fortified with B-12 (think parmesan cheese). Most solid vegans I know take daily sublingual supplements or bi-weekly injections. Really no way of getting around that one, a B12 deficiency can lead to all kinds of issues including permanent neurological damage, so don’t mess with it. Next ones are vitamin D, calcium, and long-chain omega-3 fatty acids. These three power house nutrients typically come from canned seafood and dairy products, both off the vegan menu. If flax seed, flax seed oil, and walnuts are a regular part of the diet, omega 3 fatty acids should not be a problem. And there are always vegan omega 3 supplements. It should be noted that the vegan supplements are not as bioavailable as the fish supplements, however. Some green leafy vegetables will provide plenty of calcium if eaten regularly especially kale, broccoli, and watercress. Almonds are also a great source of calcium all things considered. Plant-based dairy alternatives can be a good option too if fortified with vitamin D, B12, and calcium. I talk more about them in this recent post.
  2. There is possibility that vegans are at lower risk of heart disease, certain types of cancer, and type 2 diabetes. The research isn’t clear, folks. The movie which shall remain anonymous, gave studies, which to the average person unfamiliar with how research works, might sound compelling, if not downright terrifying. But much of what they cited was based off of dietary recalls and food frequency questionnaires. I did some of my own digging, that’s what I found too here, here, and here. As a dietitian, I’ve completed both myself and obtained thousands of dietary recalls. Can you give me an account of everything you’ve eaten for the past seven days including snacks, drinks, and meals? How about a month? I can’t either. That’s what they are basing their research on and then saying the amount of meat these people ate is linked to their cause of cancer. You can’t buy that. I will note, if these people are professing to be vegans and in two of the studies I linked to, the subjects are seventh day adventists as well, I’m guessing the researchers are taking their word that they don’t smoke, drink alcohol, or consume animal products. So over the 6 and 8 year follow up period these two studies took place, these people never messed up. Not once. Not ever. I’ll let you decide how likely that is. And how truthful people are about that. Especially when it comes to their religion.
  3. You could be thinner. True. Could be. I’m a weight loss expert. I’ve been working with people on weight loss for over ten years. I’ve never been able to adequately help someone lose weight without reducing their carbohydrate intake and increasing their protein intake. Quite opposite of a vegan diet. But certainly, the carbohydrate choices I recommend are fresh fruits, vegetables, whole grains, and beans/legumes. Really, I’m tired of of the 100-calorie snack packs and 1-point snack cakes filling up the grocery aisles advertised as weight loss foods. They aren’t. And they aren’t part of a vegan diet, that’s a win.

Obesity is the second leading cause of preventable death in the United States. Smoking is number one. My mission is to help you lose weight effectively and for good. I don’t buy for one second that eating a piece of bacon or any processed meat is like smoking five cigarettes. This study compared various types of cancer risks relative to habits like smoking history, processed meat, and red meat intake. However, they based their conclusions on food frequency questionnaires and did not take into account BMI or family history of cancer (although they gathered the information.) They did survey close to 500,000 individuals. So I will give it to them that they have numbers on their side. If you’ve ever talked to me about processed meat, you know I don’t like nitrites and nitrates because I do believe that there is strong evidence that they are linked to cancer and there are too many great nitrite-free options to risk it. But that doesn’t mean eliminate them altogether nor does that make a strong case to go vegan. In fact, this study found a reduction in all cause mortality when individuals replaced red meat with unprocessed white meat (chicken, fish, etc). But again, they obtained their evidence from questionnaires. So who really knows.

So far, maybe I haven’t given much compelling reason to go all out vegan. I’m really not anti-vegan at all. In fact, I’ve considered it myself but I live with two meat-lovers  and one-dairy lover so I prefer to keep the peace for now. At first glance, there is some compelling evidence that it’s the miracle diet we’ve been looking for. But then again, other diets are out there showing similar promises. Fact is, we don’t know enough about any of them and I’m not sure if we ever will. I don’t know anyone that has gained weight, could blame their cancer, heart disease, or diabetes on following a vegan diet. Quite opposite in all of the personal encounters I’ve experienced myself. If it’s something you are considering, have a plan, allow for a little flexibility, and incorporate supplements if necessary.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

9 reasons why people are following a dairy-free diet

If you aren’t avoiding dairy like the plague, you probably know someone who does. If you don’t, you may have heard that it’s best to choose the full fat versions over the fat free or low fat. And what about those hormones? Should you choose organic? A dairy alternative?

What’s what? Why are they avoiding it? And should you? Let’s start with two of the biggest, most glaring reasons why someone would want to avoid dairy:

1. Lactose intolerance. In fact, according to the National Institutes of Health, as many as 65% of adults in the U.S. suffer from this – ya know, that bloated, uncomfortable gassy feeling that sends you to the bathroom after you’ve drinking a glass of milk or just eaten a bowl of ice cream?. It’s not an allergy, but just simply the body’s inability to digest lactose, the sugar found in milk, because it lacks the necessary enzyme, lactase, to break it down. It’s actually rare before the age of two. Milk is a big no no here, but often this includes cheese, cottage cheese, ice cream, and yogurt in large quantities. Those who have Irritable Bowel Syndrome, Celiac Disease, Crohn’s Disease, Ulcerative Colitis, or Diverticulosis will more than likely also have lactose intolerance. Many lactose-free options have been developed over the years such as Lactaid milk and my personal favorite, Fair Life ultra filtered high protein milk which now has available options to include DHA omega-3 fatty acids.

2. Milk allergy: this is more than just an intolerance to the lactose enzyme. Understand that an allergy is very different in that it is defined as a damaging immune response by the body to a substance. There is no tolerating even a yogurt or lactose free option if they want to avoid hives, anaphylaxis, or whatever it is that their body does in response to milk protein.

If you don’t fall into the above two categories, you may want to explore some of the other reasons with me to find out why people have sworn off dairy before you decide if you are joining the bandwagon or not:

1. Dairy is an acne-trigger: TRUE. Some research does, in fact show that high intakes of dairy are linked to moderate to severe acne in teenagers and young women due to the insulin-like growth factor-1 (IGF-1) found in milk. The IGF-1 is the primary mediator for the growth hormone and is present in pregnant milk-producing cows. I believe this hormone and others is to blame for why many people are so nervous about consuming cow’s milk and have made the switch to one of the many alternatives available on the market today. Read on.

2. It contains harmful hormones: FALSE. As with with above, the word hormone gets people nervous and thus, there has been lots of public concern over the synthetic hormone, recombinant bovine somatotropin (rbST), that leaks (in miniscule amounts) into our dairy products from pregnant cows. What exactly is it and why is it used? Simply put, it helps the cows produce more milk, i.e. increases efficiency and productivity for their ahem, job. In fact, it’s been studied extensively in it’s twenty years in use and in this most recent review of those many studies, has been concluded totally safe. You have likely seen organic rbST-free milk and yogurt options available in your local grocery store and assumed they were better. From what I have researched, these are in response to market demand, not necessarily safety concerns. If I find out any differently, I will tell you. Promise. If you are still concerned, you have those available to choose from and certainly, if you are acne prone, go for them.

3. Dairy has been linked to certain types of cancer: FALSE except for possibly prostate, which remains inconclusive. In a 2015 analysis of 22 prospective cohort studies (1,566,940 participants), they concluded dairy was associated with a decrease in breast cancer incidence. And again, a study published last month (June 2017), they indicated after analyzing the results of 13 different studies (493,415 participants and 7453 cases) that increased calcium intake coming from diet and supplements was associated with a decreased risk of ovarian cancer. In another review, published at the end of last year, they concluded that cow’s milk is indeed associated with a reduced risk of colorectal, bladder, and gastric cancer as well but neutral for ovarian, pancreatic, and lung. With that many participants and cases, they make a strong argument. The jury remains out for prostate as there has been evidence that dairy raises the risk of prostate cancer, particularly because of the presence of the IGF-1 hormone. Stay clear if you’re a male and have a strong family history for now….in my opinion. It’ cancer, after all.

4. It raises diabetes risk: FALSE. In a 2016 analysis that included 22 cohort studies comprising of 579,832 individuals and 43,118 Type 2 diabetes cases, total dairy consumption, particularly from low-fat yogurt was associated with a reduced risk. Although another study found no difference using full fat yogurt, suggesting the benefits came from the fact that yogurt is rich in probiotics and the fat content is not as important. Lots of human subjects here, that’s what I like to see in results.

  • 5. It causes inflammation: TRUE, maybe. Looking at 78 studies, it really was a toss-up. This review concluded that dairy products, especially fermented ones, like yogurt, are anti-inflammatory. However, for people who have a known dairy allergy, it is definitely pro-inflammatory. Makes sense, that’s kinda what an allergic response is. As far as what it was that caused the dairy to be inflammatory, they did find more of an association with the dairy products highest in saturated fat.

6. It’s fattening and raises risk of heart disease: FALSE. In the same review, they discussed how in actuality, full fat dairy products raise HDL levels (a good thing). Although whole milk dairy products do tend to increase LDL cholesterol as well, understand that there are two types – small particle and large particle. The small, dense particle size are the ones that are more susceptible to oxidation and artery wall build-up, whereas the large are not. Dairy products have more of the large particles. That’s good. A recent meta-analysis of thirteen studies published in December of last year concluded plainly that :

Higher dairy fat exposure is not associated with an increased risk of cardiovascular disease.

7. It was never meant for humans, only baby calves. Personally, I find this to be a weak argument. One could argue that the only milk meant for humans is breast milk. However, many of us, myself included, enjoy soy milk, almond milk, and many of the other non-dairy novelties on a regular basis. The NHANES pubished in 2010 reported that indeed, children aged 2-4 and 5-10 did have higher BMIs when drinking higher quantities of milk (higher BMI was not necessarily equivalent to obesity). However, these results were used for the 2010 dietary guidelines for Americans to encourage milk consumption among children since a higher BMI (not necessarily obese) for a child is not necessarily a bad thing. After all, it is well known that calcium and vitamin D intake are linked to bone health and that milk is an excellent source of these vital nutrients. We also know that bone mass is developed during childhood and adolescence.

One might argue that calcium and vitamin D are also available from the many dairy alternatives such as almond, rice, soy, and coconut milk, and often in higher quantities. In this study, however, they found that our bodies absorb about 25% less of the calcium most brands of soy milk add to their product compared to cow’s milk. In other words, you need to drink about 12 ounces of soy milk to get the same amount of calcium you would get from an 8 ounce glass of cow’s milk. Another review pointed out that we simply don’t know the amount our bodies can absorb from all of the nutrient-fortified plant-based milk options to say whether or not it’s the same as drinking cow’s milk. Either way, no one can deny our children are consuming energy dense, but not necessarily nutrient dense diets and that’s a problem. Cow’s milk is the only product I know of that is consistently high in protein, potassium, calcium, and vitamin D while low in food additives including added sugars that is widely offered to children in their critical growth years.

Hear me out. If you read my blogs, I understand that some of you read holistic health sites as do I. And much of what I’ve said in this post goes against what you’ve probably read or heard. But I do not believe in living in fear, I believe in what it is evidence when it comes to this stuff. I dig as much as my time allows to avoid any potential bias and present the facts to you. If you have any personal experiences that differ and you need to remain committed to a dairy free diet, there are acceptable options to get your calcium from, including some you may haven’t even thought of yet like kale, broccoli, and canned salmon. If you need probiotics and extra supplementation, I have recommendations that I fully trust and use myself that I would feel confident in sharing with you. Feel free me to contact me if you’d like to discuss it more.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here. We have an upcoming fitness challenge that’s going to be lots of fun!

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Jillian McMullen, RDN, CSOWM, LDN

Keto diet- is it everything and more?

Several weeks ago, I began a diet review series and I did a brief synopsis of the Keto Diet. I admit it wasn’t very thorough and because I keep seeing it pop up and another friend starting it, another friend losing weight with it, and another person swearing by it for their increased energy, I’m gonna do a more thorough review here. I especially see my friends in the holistic communities doing it- and it’s spreading faster than the Whole 30 diet once was.

Is this the newest fad that will be replaced by something better in a couple of years? Or is it here to stay and in several years we are going to see evidenced based research popping up at how it’s the best diet that we never knew existed and if we just figured out how healthy fat was for us earlier, maybe we wouldn’t be seeing the rise of heart disease, obesity, cancer, and other related diseases that we do today?

Well, let’s start with what it even is. Roughly 70-75% fats (you read right), 5-10% carbohydrate, and 20-25% protein. As you can see this is not your normal low carb diet that typically replaces the missing carbs with protein. It’s all about the fat. Why? Because the purpose of this diet is to put your body into ketosis, aka a fat burning machine. Just to give you a little science lesson here, our bodies preferred source of fuel is glucose (what carbs are converted to after we eat them). Now if you are eating a diet high in carbs, that is what you will burn first for energy. And everything requires energy in our bodies to function properly, including our brains. When the body runs out of glucose (will happen if you aren’t eating very many carbs), the liver is great at producing a back up, called ketones. Ketones come from broken down fat. Make sense?

So why do people do this? I dunno about you, but while a high fat diet sounds pretty fun to me, a diet made of mostly fat doesn’t. But there are lots of anecdotal reports of promising results when one follows this kind of diet. I’ll start with two that have evidenced-based research backing the claims up (because you know me, that’s what I’m about.)

Note: it was very difficult for me to find any studies published prior to 2017 (soooo….6 months ago) that called a ketogenic diet low carb high fat. Be aware of that because any other “ketogenic” diet before that in the research was defined as “low carb, high protein.” There is a huge difference and that’s not what we are talking about here. I worked with patients and personally participated in 2 published studies on very low calorie high protein, low carb diets for 7 years.

Weight loss: this article  published in 2013 reviewed 12 different studies and found in 1415 subjects, the average weight loss after 6 months on a high fat, low carb diet was 2 pounds vs. 1.6 pounds for those following a low fat diet. After a 6 month follow up it was difficult to assess because compliance was not so great and they consumed more carbs than allowed. Another study published in 2009 was done for a full year on 106 obese individuals and compared weight loss of those on a keto diet vs a low fat, high carb diet. They found that their average weight loss was the same between groups, both losing an average of 30 pounds. Pretty good, but neither diet was superior to the other. It just showed that following a reduced calorie diet yields weight loss.

I will add here that I’ve always said, I’ve failed at what I do if I helped you lose weight but you regained it all back. I don’t think we know enough about this diet for the purposes of weight loss to know if it’s not just another yo yo plan. Sorry.

Lipid levels: In the same 2013 review, they analyzed 1258 subjects and found their triglycerides decreased significantly, and their HDL levels increased significantly. Both good things. I like that and the amount of subjects is enough to say it’s valid.

Other indicators of Metabolic Syndrome: The 2013 review noted there was no significant difference between treatment groups in changes in systolic blood pressure (11 trials), fasting blood glucose (eight trials), insulin (six trials), HbA1c – average blood glucose over three months (four trials) and C-reactive protein (four trials).

Athletic performance: In this 2017 review, they concluded that long-term low carb, high fat diets appear to be safe and may even improve several metabolic risk factors for chronic diseases in the general population. They may even provide a promising way to help control body weight and fat mass while maintaining lean body mass in athletes who are participating in sports like tae kwan do, wrestling, lightweight rowing, cycling, and running. Additionally, there is some emerging evidence that a keto diet could improve the performance in ultra-endurance sports as well as those sports with repeated high intensity activities. If you aren’t an athlete, this could still be a good thing if you’re hitting up the gym and wanna try out that new cycling class.

Focus and Mood: this has been one result that many believers love the most. And why I believe they stick with it. Who wouldn’t when you feel great, you’re losing weight, and you’re better able to focus? Who doesn’t need that? Here’s what the available research says: in a 2009 study, they found that after 8 weeks, those following both low carb, high fat diet and a low fat diet had significant improvements in their mood and cognitive functions. However, after a year, the low carb, high fat diet returned to their baseline mood and cognitive functions while those on the low-fat diet continued with their marked improvements. You read that right. The low-fat diet group continued with the better mood, NOT the keto group. This study here in 1998 reported similar results on women eating a high carb diet. I’m just the messenger, don’t hate me! Now, I’m not recommending you go eat a bunch of carbs to feel better. Okay?

Here’s the thing, the concept of following a keto diet for weight loss is fairly new in the research world. So you’re not gonna find a whole lot out there to prove it does a whole lot for health yet. You will find a bunch out there to show the benefits of what it does for those with epilepsy unresponsive to medication. It works.

And don’t expect overnight results. It takes time for the body to adapt to ketogenesis. Some sources I’ve read say two weeks, others say up to a couple of months – assuming you don’t go off plan, not even once. So no cheat days allowed. This diet is for the type A strict meal planning types. Those who are willing to keep a food record and count their carbs, fats, and proteins will do best.

I’m a weight loss expert. And here’s what I know about long term, sustainable weight loss. It’s hard. Like, really hard. If you’re looking for a study that proves ANY diet to work and be the ending answer to our obesity epidemic, well good luck. You will surely find that one person who followed a high carb diet and lost 167 pounds and now has kept it off for 13 years. There’s gonna be that person following the Atkins diet since it’s introduction to the dieting world and it’s changed their life forever. And then there’s the rest of the dieting world still looking for what works for them. I did not find anything that said following the ketogenic diet was harmful, not even long term. In fact, quite opposite. So if you wanna try it because you know someone or more than a few someones who are following it and now they look and feel great and you think it’s something that could help you, well let me know! I’m always looking to be inspired by someone’s dieting success story.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Do you know what high fructose corn syrup really is?

Believe it or not, there is a large degree of controversy in the health community as to whether or not high fructose corn syrup (HFCS) any different than consuming sugar, honey, or any of the other sweeteners humans have consumed for decades prior to the 1970s when it was first introduced on the market.

Let’s start off with defining what this evil thing is, HFCS, anyway. I’m sure you’ve heard of it, probably all bad things. But do you know what it really is (besides an evil liquid sweet substance that makes you fat especially your liver, inflames everything in your body, and will likely give you a heart attack in the next 5 years)? Defined, it is derived from corn starch which has been broken down into corn syrup to which enzymes have been added to change some of the glucose to fructose, making the product

sweeter than regular corn syrup. Regular corn syrup is 100% glucose whereas HFCS now has a large portion or fructose. According to the FDA, HFCS 42 (as in 42% fructose) is mainly used in processed foods, cereals, baked goods, and some beverages. HFCS 55 (as in 55% fructose) is used primarily in soft drinks. Make sense?

Why is it used? Because it’s cheap. It comes from an abundance and renewable source in the agricultural industry – corn. It’s also stable in acidic environments and beverages, making it very easy to use in products. Being that it’s liquid, it’s also easy to pump from delivery vehicles to mixing and storage tanks.

So why the controversy? It’s cheap, it’s easy, seems to be near identical to table sugar, which is 50% glucose and 50% fructose – the substance all other sweeteners are compared to. So why all the media hype? One of the biggest spotlights it has been deemed a demon for is the obesity epidemic. I’ve done as thorough research review and as Harry Truman said, “If you can’t convince them, conf

use them.”And that’s largely where I’m at -sort of.

Here’s why. The vast majority of the studies I read concluded that HFCS is no more to harmful to our health than consuming regular table sugar is. That doesn’t mean it’s good for you, it just means it’s not worse for you than eating added sugars in general. That makes a lot of sense to me because I already know that eating added sugar does more harm that good. What didn’t make sense to me was that some of these articles, like this one from the NIH, while compelling, were funded by Pepsi Co International, Coca Cola, ConAgra Foods, Kraft Foods, Corn Refiners Association, and Weight Watchers. The conclusion was “based on high quality evidence from randomized controlled tria

ls (RCT), systematic reviews and meta-analyses of cohort studies that singling out added sugars as unique culprits for metabolically based diseases such as obesity, diabetes and cardiovascular disease appears inconsistent with modern, high quality evidence and is very unlikely to yield health benefits.” In case you forgot, Weight Watchers has a large product line if one and two point cakes, muffins, and other yummy sweet treats to keep you on track with your point count.

And this review, who’s final statement was “it does not appear to be practical to base dietary guidance on selecting or avoiding these specific types of sweeteners,” was funded by the United States Department of Agriculture. It’s just hard for me to see beyond the possibility of hidden agendas w

hen companies who have a lot to lose are dumping their money into statements telling the public th

at what they are doing is perfectly safe.

I did find some unbiased research out there though. As of 2004, the American Journal of Clinical Nutrition reported that there indeed is evidence that it may have a special connection to the rising obesity rates, particularly because of the overconsumption of sweetened sodas. The conclusion that started this whole controversy was that “the risk of diabetes, cardiovascular disease, metabolic syndrome, and gout is also increased with the consumption of sugar-sweetened soft drinks.”

But why would this be? For starters, with the cheap source of sweeteners, the average soda size grew from sixteen ounce bottles to twenty. Even more so, this sugary substance is addicting. W

hen we get a taste of it, we want more. Sweetness is an acquired taste. Ever met a one year old who’s never had candy or cookies? I have and they could care less about it. I met a holistic nutrition doctor once that has two children between the ages of five and ten who have never had sugar of any kind before….and they didn’t want it. In contrast, I’ve met a two year old who’s tasted candy and they will go through great lengths to get it (like pulling up chairs, climbing furniture, hiding behind furniture with said candy, screaming, crying…not that this was my kid or anything.)

In a more recent study in 2013, they concluded similar results (along with increased risk of fatty liver disease) with more astounding statistics – between 1950 and 2000 the soda consumption increased from 10 gallons per year to over 50 gallons per year and from 120 pounds of sugar in 1994 to over 160 pounds of sugar in the 21 st century.

Additionally, fructose can be a nightmare if you suffer from irritable bowel syndrome. For about one third of sufferers, fructose malabsorption or intolerance may exacerbate symptoms of bloating, gas, diarrhea, and abdominal pain. Fructose is naturally found in honey and fruits. But we eat it on the daily in sugary drinks and processed foods – trying to eliminate it can be a challenge. Same goes for those with a corn allergy. It’s becomes a second job to avoid HFCS since it’s now in not only sodas but crackers, cookies, frozen dinners, granola bars, and yogurt.

Lastly, I’ve talked about the hunger regulating hormones, ghrelin and leptin before. There is evidence to suggest that HFCS inhibits insulin secretion thus, the leptin isn’t produced to promote satiety after a meal or a snack full of HFCS. As far as I have found, ghrelin (the hunger producing hormo

ne) isn’t increased, but who cares when you get no full signal while you’re chowing down on a box of doughnuts?

Bottom line: eat it, as with table sugar and all added sugars, in moderation. It is unclear if HFCS is the cause of the rising obesity epidemic and all of the related health issues we are experienc

ing in ourselves and our families, but it is crystal clear that there is a correlation.

What is moderation though? Well, I didn’t find much out there. I know less than 160 pounds per year, but that doesn’t tell me a whole lot. To give you an idea, one 12 ounce can of soda has 40 grams. So consider a plant-based diet with lots of fresh fruits and vegetables and eliminate sweetened beverages. Start there and limit the sweets to special occasions and holidays.

 

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Dieting hacks: optical illusions & outta sight, outta mind

A lot of what we eat, sizes we choose, and amounts we serve ourselves are just an illusion. What do I mean by this?

Studies have shown that the most popular drink serving size is medium. However, “medium” is varies from restaurant to restaurant. For example, did you know Starbucks has a “short” size? It’s true. But they don’t advertise it because if they did, they know they would sell mostly “tall” drinks instead of “grande” which in most people’s eyes is considered their “medium” size. Why? Because they advertise tall-grande-venti. If they advertised short-tall-grande, we would all want tall. Interesting, huh?

To drive home this point, the first time I went to my local movie theater, I got a medium soda. However, what they considered medium was about 42 ounces!!! I took my kids yesterday and remembered this, so I ordered a “small” 32 ounces. Still gigantic, but imagine how many people are ordering the 42 ounce sodas simply because of the “medium” label? In a gas station, we call those “big gulps.”

I haven’t been to a bar in a long time….make that about 8 years (about the age of my oldest plus 9 months.) But in study found that experienced bartenders will pour about 20% more alcohol into a short glass versus the same size tall glass if not pre-measured while the average person will pour around 30% more. You think restaurants and bars have more tall glasses because of this? Of course they do! Or at least they are required to use their jiggers! Try this concept with your children for fun: show them 1/2 cup candy in a tall glass and a short glass (clear, see through) and give them a choice. They will choose the tall glass even though its the same amount. Why? Because the tall, slender glass looks like more candy.

How can you apply the optical illusion concept to your life?

  1. Use smaller bowls, plates, and cups so that it appears as if you are eating more than you are. As referenced in my last post, those portions will get lost in large plates and it’s been proven over and over, you will eat more if you eat on large serving dishes.
  2. Divide your snacks into smaller portions. The same researcher mentioned above, found that using visual indicators significantly reduces the amount that we eat. Check out this study where just adding a different color every seventh or fourteenth chip resulted in a 250 calorie difference!! It really can be that easy, folks! This is why single serving and 100 calorie packs are so effective! Get yourself some snack-sized plastic baggies and pre-portion out your snacks or before you sit down to watch television with a bag of chips, put a handful in a bowl first so you can see what you are eating. Do not rely on estimates when you are eating directly from the bag. Take that extra step if you are serious about losing weight.
  3. Make it inconvenient to overeat and put foods you should be limiting out of sight. Remove the candy dish off your desk and put it somewhere you can’t see it (like, in the trash. No really, in the pantry). Get the bag of chips off the top of your refrigerator and put it behind closed cabinet doors. Store your leftovers in an opaque container, in the back of your refrigerator (I don’t care if you forget about them, that’s the kind of the point!) And please, stop storing that ice cream in the freezer in case your grandkids come visit! It’s not good for them, either!
  4. Keep healthy foods convenient and visible. Store fresh fruits and vegetables in clear containers, in the front of your refrigerator, already cut up and ready to eat. Purchase cheese sticks already portioned out and make sure they aren’t buried under stuff in the deli drawer. Boil eggs in advance and peel them so that they are ready for a snack when you’re hungry, again stored in a clear container where you can see them. Replace the cookie jar on the counter with a bowl of fresh fruit. Put some single serve trail mix packages on top of your fridge in place of the chips. Need proof this stuff works? Here’s another study for you on how out of sight, out of mind reduces over-eating- office workers ate 5.6 more chocolates each day when dishes were visible but inconvenient, and 2.9 more chocolates when dishes were convenient but not visible. I’m suggesting you do both (make the food inconvenient and invisible), but according to this study, it’s the visibility that really counts.

Even if you pick one or two of these hacks to try, I think you will see some results in your life. Let me know in the comments what you try and how it’s helping you. Remember, it’s not willpower, it’s skill-power. I’m going to keep emphasizing that point because I want you to understand that you have the power within yourself to see the results that you desire.

P.S. Love to eat out but not sure how to fit it in with your health and wellness goals? Get these tips  sent to your inbox and master the dieting hacks even when you’re at restaurants!

P.P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Diet hacks for eating less and feeling full

Portion control. Do you cringe when you hear that? It’s more like portion distortion. The bigger is better mentality has surfaced everywhere – smart phones, television screens, computer monitors, boobs (yea, I said it), muscles, tires, cars, houses, and on and on.

Here’s the deal….most of us don’t even know what a portion of any food actually is. And when we do find out, it’s laughable. Why is that? Well, because we have become conditioned to super-sized servings. Now, a portion is an actual MEASURED amount. A serving is whatever you put on your plate. They are two very different things. So here’s a little education for you:

1 portion of carbohydrate = 1/2 cup (cooked, plain cereal like oatmeal/grits, potatoes, pasta corn, peas, beans) (80 calories) *rice is an exception at only 1/3 cup per serving

1 portion non starchy vegetable = 1 cup raw or 1/2 cup cooked, but really – unlimited (25 calories)

1 portion fresh fruit = 1 cup raw, 1 cup frozen or 1/2 cup canned (60 calories)

1 portion added fat = 1 teaspoon (oil, butter) (100 calories)

1 portion nut butter or avocado, sour cream = 1 tablespoon (90 calories)

1 portion nuts = 1/4 cup (170 calories)

1 portion dairy (milk, plain yogurt, cottage cheese) = 1 cup (110 calories)

1 portion of lean meat (chicken, fish, pork tenderloin, egg) = 3 ounces  or 1 egg (110 calories)

1 portion of high fat meat (beef, ribs, fatty fish) = 1 1/2 ounces (110 calories)

Note these are all estimates and foods vary A LOT depending on added sugars and fats or lack thereof. So reading labels is important too. But the key here is to understand that you are probably over-eating. For example, in a restaurant, the smallest sirloin is 9 ounces, that’s SIX TIMES as much as a “portion size”. I’m not saying you can only eat 1 1/2 ounces, but calories count and they add up fast if you aren’t paying attention. It’s really no wonder how people gain weight easily when they are eating out frequently.

But it’s not just restaurants to blame. It’s how we cook at home, too. For instance, when you make pasta – do you cook the entire box? Have you ever looked at the label? A pound of pasta is enough to feed sixteen people if you are sticking to the 1/2 cup serving. If you go with the box’s suggested serving of two ounces or 1 cup each, then you are cooking for eight people. I’m guessing you aren’t feeding that many people for dinner on a regular basis though. So how do you deal without feeling hungry all the time?

Here are some tried and true tricks:

  1. Realize this is not willpower. I repeat – NOT willpower. It’s skill-power. So first of all, STOP cooking for an army and start cooking for the number of people having the actual dinner. I once counseled a couple that did this and each lost forty pounds without changing what they were eating. If you really don’t want to do this, then plan for leftovers, but make two pans/pots/casseroles and immediately put one in the freezer or whatever you need to do BEFORE you start eating. Remove that temptation.
  2. Use smaller plates – as in six to eight inch plates. You know those salad plates you have that came with your ten inch dinner plates. Yeah, those ones. In a study done by food scientist and researcher, Brian Wansink, he explored how an optical illusion leads us to make inaccurate estimates of serving size, depending on what size plate they are presented on. The more “white space” around the circle, the smaller it appears and thus, we feel the need to fill the plate to the edges. Same goes with bowls, in another study he conducted at a health and fitness camp, campers who were given larger bowls served and consumed 16% more cereal than those given smaller bowls. Despite the fact that those campers were eating more, they estimated eating 7% less than the group eating from the smaller bowls. Interesting, huh?
  3. Allow a good twenty minutes to finish your first plate before getting seconds. It takes your brain that long to register that you have eaten. Now I do understand that it can be quite annoying to eat slow if you are a naturally fast eater. So I suggest if you zip through your meal in five to ten minutes, then wait for the next ten minutes to pass before you decide if you truly need a second helping. And if you do, go for veggies first since they are the lowest in calories.
  4. Use the plate method and shift the calorie make up on your plate. This goes with the concept of a volumetrics type diet. Notice how vegetables only have twenty-five calories per portion? But the starchy carbohydrates have eighty? And that’s assuming you didn’t load them up with gravy, butter, or other fats. Same with meats, 110 calories per one to two ounces? Fill up half of your plate with non-starchy vegetables (so NOT corn/peas/potatoes), a third with high fiber carbohydrates, and the rest with a meat, preferably a lean meat. If it’s breakfast time, fill that half with fruits. Make sense? You are eating more low calorie foods and less high calorie foods, but not sacrificing volume. Another way of looking at is like this: one cup of salad dressing is around 1440 calories, one cup of nuts is 680 calories, one cup of fat free milk is 90 calories and one cup of raw vegetables is 25 calories. In other words, a large plate of pasta is going to be a ton more calories than a plate of salad. Here’s the issue with most of us: usually our plates are half meat (often high fat), half starch, and vegetables as an afterthought or something starchy like corn (at least here in the south!) Personally, I prefer the plate method over measuring my food. I got kids and if I don’t inhale my food, I don’t eat before there’s an explosion of a hot mess in my house. Like many of you I’m sure, I don’t get the luxury of measuring, weighing, and taking my time to eat dinner – so I’m thankful for these hacks that still make it possible to eat well.

Lastly, remember that the above will not work if you arrive to the dinner table starving. The day starts with a healthy breakfast, planned out high protein snacks and a healthy lunch. If you didn’t eat high protein, healthy foods every three to five hours earlier in the day, you can forget about the rest because you will want to eat the refrigerator door by the time you sit down for dinner and a six inch plate will just piss you off. For tips on preplanning meals – head over to this previous post on how to do that.

P.S. Love to eat out but not sure how to fit it in with your health and wellness goals? Get these tips  sent to your inbox and hopefully they will help you out.

P.P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle, you may be interested in joining my free support group here.

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Jillian McMullen, RDN, CSOWM, LDN

Is a very low calorie diet right for me?

Have you ever considered going on a very low calorie diet, aka VLCD, to lose weight? Maybe you don’t even know what it is – rest assured, you probably have heard of them just not by this term. Some of you remember (or at least heard about) when Oprah melted before her audience’s eyes in the 80s after following the Optifast plan. More recently, you or someone you know is probably following the HCG diet plan. Both of these are VCLD plans. So let’s review them.

There are several types in existence on the market today – some with fancy names like the ones mentioned, but they all have one thing in common – they involve consuming 800 calories per day or less. Their means to achieve this intake vary from consuming meal replacements to following strict meal plans and some include taking supplements, injections, and/or appetite suppressants. Their calorie ranges typically go from 500 to 800 per day. The goal is to create rapid weight loss in a short period of time. As you can imagine, these types of diets can be very effective.

I am very familiar with the concept as I personally worked with clients in group and individual settings following a VLCDs for seven years. Our chosen modality was Optifast meal replacements because it is a product that can only be purchased at a clinical facility and a diet like this really needs to be followed under medical supervision. On this program, dieters get a choice of high protein shakes, bars, and soups totaling 800 calories per day. Some required appetite suppressants, but that was determined on an individual basis.

I will mention the HCG diet here too because it is the most common VLCD that I hear about in recent days. Simply put, it’s a 500 calorie strict meal plan paired with injections of human chorionic gonadotropin (HCG), a natural hormone that the body produces during pregnancy. Yea, sounds weird to be used for a weight loss diet, huh? Well, according to the website, “HCG releases stored fat to ensure the growing fetus during pregnancy receives the nutrients it needs to grow and develop normally. When HCG is taken in non-pregnant women and men, the body still releases the stored fat. Because there is no fetus present, however, the body uses the stores for energy or eliminates the rest. This enables the body to release stored toxins and fat. Abnormal fat is lost, leaving normal or structural fat and muscle tissue. This means you lose weight in those stubborn areas–hips, thighs, buttocks and upper arms!” 

Unfortunately, this just isn’t true and there is zero scientific backing that it actually works. In fact, if you look at the fine print directly on the website, you will find this little gem of an FDA statement: 

“HCG has no known effects on fat mobilization, appetite or sense of hunger, or body fat distribution. HCG has not been demonstrated to be effective adjunctive therapy in the treatment of obesity. There is no substantial evidence that it increases weight loss beyond that resulting from caloric restriction, that it causes a more attractive or “normal” distribution of fat, or that it decreases the hunger and discomfort associated with calorie restricted diets.”

I don’t like to be the bearer of bad news, but I will tell the truth, even when it hurts. So why do people lose weight on this diet? Because it’s only 500 calories.

During my seven year tenure with the Optfast program, I had the privilege of being a part of some fantastic success stories. People losing 50-100 pounds or more in just twelve short weeks. It was amazing and a true honor to see such transformation in the lives of people who would start the program feeling totally defeated from a lifelong history of yo yo dieting and failed attempts at exercise programs, demoralized by what they saw in the mirror, the number they saw on the scale, and horrified by the clothes they had to wear. Some of them would come because it was their one last big try before considering anything permanent like weight loss surgery. And I would watch them literally melt away before my eyes and go out and do things they never thought they could do again – tandem skydiving, mule rides in the grand canyon, mountain hiking, cross their legs, and tie their shoes.

But after seven years, the program needed to be ended because more than 75% of the success stories became another yo yo story. Almost every single person regained all of their weight back and then often more. It wasn’t for a lack of guidance to a gradual transition back to real food. That was provided along with weekly support. But they had to choose to participate and most didn’t.

Why is this? Because while you are in the weight loss phase, it’s fun, exciting, and you feel on top of the world. The maintenance part is where the real work begins. On a VLCD there is no planning or thinking involved – “eat this/drink this, move on with life and watch the pounds melt off.” In maintenance, you have to deal with real food choices and decisions between fried and grilled chicken, an extra bite of birthday cake, running through the drive through on a busy day, pre-packing lunch for work, and the normal weight fluctuations that come along with it. Exercise is more important than ever, something that is restricted while on the plan. The American College of Sports Medicine recommends those maintaining significant weight loss exercise 45-60 minutes most days.

So in summary, do I recommend VLCD as viable method of weight loss? Yes and no. They are extremely effective when safely monitored by a trained health care professional for getting the weight off and doing it quickly. If someone requires this for a lifesaving surgical operation, say they need to lose weight to repair a life-threatening hernia, remove a cancerous tumor, or it is a precursor to weight loss surgery itself – then it is a fantastic option. Nevertheless, I’ve seen some people have massive success and maintain it off in the long term. But those are the exception and are the rare, dedicated types that follow all of the rules. They calorie count, rarely go off their meal plan, exercise the recommend 60 minutes daily, live an active lifestyle overall, and eat breakfast daily, drink plenty of water, and keep themselves accountable with the scale on a daily basis. They also see their health care providers regularly for outside accountability.

Lifelong weight management is just that – it’s lifelong. No matter how you get it off, it is something that will always have to be at the forefront of your mind. Unfortunately, VLCD plans are too much of a “on the diet, off the diet” approach to create those necessary habits for sustained success.

P.S. If you’re looking for online support with like minded moms striving to live a healthier lifestyle and lose weight, you may be interested in joining my free support group here.

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Email: contact@jillianmcmullen.com

Jillian McMullen, CSOWM, RDN, LDN

What should I look for in a protein supplement?

We live busy lives and this often means meals are skipped or we find ourselves in the fast food lines. I’ve said many times, if you are going more than five hours without eating, then you aren’t doing your metabolism any favors – you’ve got to put fuel in the furnace if you want it to keep it burning.

Protein supplements can be a great option to replace those skipped meals. But with the growing health trends, many people get confused about what is good and what is not. So first, let me give you some basic guidelines, whether you are looking at a protein bar or a drink:

Starting with what I like to call “the rule of 20″:

  • Aim for less than 20 grams of sugar per serving
  • Aim for more than 20 grams of protein per serving

You will avoid candy bars and milkshakes disguised as something healthy by following those two simple rules.

Some of my personal favorites include:

Core Power or Core Power Light: Not a lot of added vitamins, which makes them taste a whole lot better, ranging from 20-26 grams of protein and 10-26 grams of sugar. The Light version is definitely the winner here in nutritional content, but I like them both and they each offer different flavors.

Svelte: ready made protein drinks that are dairy free and again, not a whole lot of added junk to make them taste terrible. They are 180 calories and 11 grams of protein, so when I do choose these ones, I make sure to add a hard boiled egg, greek yogurt, or stick cheese to my meal to make sure I get enough protein. They have some good flavors beyond your typical vanilla and chocolate, so check them out.

Slim and Sassy Trim Shake: I have a personal bias because this is from my company, but it contains all natural ingredients, including stevia as it’s sweetener, and only 70 calories per scoop. I am not a fan of it’s low protein content at 8 grams per scoop, but you have the flexibility to make any kind of shake you want because it is a powder, and that’s the point with protein powders. The best part are the two patented ingredients it contains- EssentraTrim, shown in research to help manage cortisol—a stress hormone associated with fat storage in the abdomen, hips, and thighs (who couldn’t use that?!) And Solathin, a special protein extract from natural food sources that supports an increased feeling of satiety (i.e. it makes you feel full, longer, which can be a common issue for some when using liquid meal replacements). Contact me if you want to know how to get it.

Quest bars: you really can’t beat a good tasting bar with 20 grams or more of protein, 1 gram sugar, and an average of 200 calories. Also one of the highest in fiber of bars I’ve seen. They have no added sugar, which is what you will often see in bars like these. Instead, they’re sweetened with sucralose, stevia and/or erythritol and they are gluten and soy free if that’s a concern for you. One caution: if you are sensitive to sugar alcohols, this one may cause you some stomach upset. It never has for me, though.

Think Thin protein bars: another high protein, low sugar bar that comes in at an average of 200-250 calories with 20 grams protein and 0 grams sugar. They are sweetened with sugar alcohols, so again, not everyone will be able to tolerate these but I have never had an issue, personally. Also, you have to be a chocolate and/or peanut butter lover to appreciate this one as all of their flavors contain at least one of those.

How about types of protein?

When choosing a protein meal replacement, be sure you are choosing a high quality protein source that is easily digested and utilized by the body. In order, these are your top sources:

  1. whey protein
  2. soy protein (most dairy-free options on the market)
  3. pea protein (as in green peas, best soy-free vegan option)

How much do you really need?

Unless you are doing some serious body building, 20-30 grams in a single shake or bar will do. Beyond that, the normal body with healthy functioning kidneys will excrete it out because we can only use so much at a time. So save your money on the super-duper 50+ gram protein powders or, if you  really like them, use half a serving instead.

Have a product you love and it wasn’t mentioned here? Let me know in the comments and why you chose it!

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Jillian McMullen, CSOWM, RDN, LDN

 

Disclaimer: some of these are affiliate links and I may earn a small percentage if you chose to purchase any of the items recommended above. However, I still would be telling you to give them a try without the potential earnings. Feel free to buy them anywhere you wish!